High Altitude Medicine and Physiology / Edition 3

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Over the last two decades there has been an explosion of interest in mountain pursuits, and doctors face new challenges in dealing with the changes in human physiology and particular medical conditions that arise from exposure to altitude and cold. The three authors are experienced mountaineering physicians who have dealt with illness and accidents in high places and who are known and respected internationally for their academic research in the field. The book will be invaluable reading for any doctor accompanying an exhibition to high altitude and also of interest to physicians and physiologists studying our dependence on oxygen and the ingenious physiological adjustments that allow us to live in the cold, thin air of high mountains.

Building on the success and reputation of earlier editions, and incorporating the considerable advances that have occured since the previous edition published in 1994, the third edition will establish this text as THE definitive reference on high altitude medicine and physiology.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Lawrence D. Longo, MD (Loma Linda University)
Description: This revision of the classic work by three authoritative figures in mountaineering, high altitude medicine, and physiology is a welcome update of the second edition published in 1995. In 32 chapters with over 1,400 references, it covers a wide range of subjects including the atmosphere and geography, hematology and blood gas transport, high altitude pulmonary and cerebral edema, acute and chronic mountain sickness, and so forth. The work distills the wealth of experience each of the three authors has as first-rate clinician-scientists and experienced members of high altitude expeditions.
Purpose: The purpose of this new edition is to compile and synthesize recent developments in knowledge and understanding of this field. The work is authoritative and presents an excellent description of complicated issues with a logical flow of ideas.
Audience: The book is written for physiologists and other biologists interested in high altitude hypoxia, students, and nonmedical mountaineers, as well as other sojourners to higher elevations. It serves well these various audiences.
Features: The book contains a wealth of information on every conceivable aspect of physiologic, metabolic, endocrinologic, and other biologic aspects of mountain medicine. Particularly notable are the figures that illustrate the various points and help to sort out mechanisms, such as the decrease in cerebrospinal fluid bicarbonate ion concentration and electrical potential difference (Fig 5.8), and acute mountain sickness (Fig 18.3).
Assessment: This is a unique, rich source of every conceivable aspect of mountain medicine, and the biologic exigencies with which climbers, trekkers, and short stay sojourners have to deal. There is nothing else like it in the literature. The deep knowledge and personal experience the authors have with the various factors of high altitude medicine make this an invaluable resource for all students of life above the flatland.
From the Publisher
...an excellent book which stands as a landmark in the field...

Here is a book that can truly be described as a definitive text
The Lancet

This magnificent, comprehensive textbook gives all the known answers to questions about what happens to man at altitude.
The Alpine

The readership should not be confined to those who specialize in the subject. For many people in medicine it will open doors to a better understanding of oxygen delivery.
Journal of the Royal Society of Medicine

The new publishers, Arnold, have done a fine job with the production. The layout of the pages is significantly improved as a result of the larger format, and all references are moved to an appendix at the end of the book, which makes them easier to find. It is the most up to date text on the subject that is available today and with its sporty new cover, new sections and revised chapters it is worth the upgrade from the 2nd edition.
Newsletter of International Society of Mountain Me

Anyone with an interest in altitude medicine will be drawn to this volume by the attractive and intriguing cover photograph of Mt Kongur. Those turning open that striking cover will be rewarded with what must be regarded as the definitive textbook of high-altitude medicine. The most comprehensive work available on the subject.
Wilderness & Environmental Medicine

Kathy J. Rinnert
This is an exhaustive text detailing the physiologic principles surrounding common medical and surgical conditions at high altitude. The purpose is to provide ""a rigorous scientific basis for the main topics in high altitude medicine and physiology, including the management of common medical and surgical conditions in the mountains."" The objectives of this book are worthy; however, there are a limited number of practitioners needing an analysis this detailed. Although the objectives are met, this extremely complete text may intimidate novices. This book targets a narrow spectrum of physiologists and physicians involved in high-altitude excursions. This is by nature a reference text and is digestible in chapter-sized pieces only. Each chapter is complete enough to stand alone. The authors are well-known investigators and participants in high-altitude trekking. Rare pictures result in chapters of dull, endless text. Many simple, clear line graphs lend to easy understanding of physiologic principles. Copious, extensive reference lists end each chapter, giving the reader ample material for self-study. An excellent table of contents and index make finding specific topics easy. The book's appearance is austere, lacking color pictures. Black-and-white line graphs serve as the only relief from sometimes excessive dissertations on physiologic principles. I recommend this book for library use because only a few of the chapters will be of interest to practicing emergency physicians. Although extremely comprehensive, this book will not find a place in the personal library of many practitioners.
Striking a balance between an academic text and a vade mecum for doctors accompanying trekking groups, provides a rigorous scientific basis for the main topics in high altitude medicine and physiology, including the management of common medical and surgical conditions in the mountains, but doesn't necessarily deal with all the practical details of climbing and skiing accidents or trekking. This revised and updated edition (1st ed., 1989) adds new chapters on high altitude populations and on medical and surgical emergencies. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9780340759806
  • Publisher: Taylor & Francis
  • Publication date: 12/28/2000
  • Series: Arnold Publications Series
  • Edition description: Older Edition
  • Edition number: 3
  • Pages: 448
  • Product dimensions: 9.50 (w) x 7.70 (h) x 1.10 (d)

Table of Contents

The atmosphere
Geography and the human response to altitude
Altitude acclimatization
The ventilatory response to hypoxia and carbon dioxide
Lung diffusion
Blood gas transport and acid-base balance
Peripheral tissues
Limiting factors at extreme altitude
Nutrition and intestinal function
Endocrine and renal systems at altitude
Central nervous sytem
High altitude populations
Acute mountain sickness
High altitude pulmonary edema
High altitude cerebral edema
Subacute and chronic mountain sickness
Other altitude related conditions: neurovascualar disorders, eye conditions, altitude cough, anaesthesia at altitude
Thermal balance and its regulation
Reaction to thermal extremes: cold and heat
Frostbite and non-freezing cold injury
Medical conditions at altitude
Women, children and the elderly
Commercial activities at altitude
Athletes and altitude
Clinical lessons from high altitude
Practicalities of field studies.
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